Elizabeth Casolo / beckershospitalreview - On June 12, a Maryland federal judge vacated parts of CMS’ rule designed to govern marketplace integrity and affordability. The excised provisions include the $5 premium penalty on automatic re-enrollees, revocations of guaranteed insurance for people wit…
AI Summary: A federal judge has vacated major provisions of the 2025 CMS “program integrity” rule governing ACA enrollment eligibility, blocking enforcement of several contested requirements. The ruling forces CMS to revisit and potentially rewrite portions of the regulation, leaving insurers, marketplaces and advocates to scramble over compliance, timelines and the likely next round of litigation.
CMS halts new hospice and home health Medicare enrollments / 1 month
CMS recalculates Medicare Advantage star ratings after Clover ruling / 17 days
FTC sues to stop telemarketing scheme selling fake PPO insurance / 2 months
Federal finalizes Medicaid work-rule policy; insurers mobilize responses / 24 days
CMS issues national Medicaid work‑requirements guidance for states / 5 wks
ACA marketplace enrollment drops by about three million / 11 days
Democrats to cap Medicare out‑of‑pocket costs for seniors / 15 days
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